How much rates vary
Facilitymedian $43 · 10th to 90th $11 to $112Professionalmedian $10 · 10th to 90th $4 to $15
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $13.49 Median $29.51 Typical High $109.65 | Facility | None | $13.49 | $29.51 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $12.59 Typical High $21.38 | Professional | None | $11.48 | $12.59 | $21.38 |
BCBS Texas Setting Facility Modifier None Typical Low $11.48 Median $58.88 Typical High $123.03 | Facility | None | $11.48 | $58.88 | $123.03 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $11.22 Typical High $12.59 | Professional | None | $5.01 | $11.22 | $12.59 |
Christus Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Facility | None | $20.42 | $20.42 | $20.42 |
Cigna Setting Facility Modifier None Typical Low $5.62 Median $22.91 Typical High $57.54 | Facility | None | $5.62 | $22.91 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $2.82 Median $10.23 Typical High $29.51 | Professional | None | $2.82 | $10.23 | $29.51 |
Health Smart Setting Facility Modifier None Typical Low $6.92 Median $6.92 Typical High $6.92 | Facility | None | $6.92 | $6.92 | $6.92 |
Health Smart Setting Professional Modifier None Typical Low $6.92 Median $6.92 Typical High $6.92 | Professional | None | $6.92 | $6.92 | $6.92 |
Lucent Health Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
Moda Health Setting Facility Modifier None Typical Low $6.76 Median $20.42 Typical High $57.54 | Facility | None | $6.76 | $20.42 | $57.54 |
Moda Health Setting Professional Modifier None Typical Low $10.23 Median $12.59 Typical High $20.42 | Professional | None | $10.23 | $12.59 | $20.42 |
Molina Setting Professional Modifier None Typical Low $15.14 Median $16.98 Typical High $16.98 | Professional | None | $15.14 | $16.98 | $16.98 |
Providence Setting Facility Modifier None Typical Low $5.75 Median $19.95 Typical High $63.10 | Facility | None | $5.75 | $19.95 | $63.10 |
Providence Setting Professional Modifier None Typical Low $2.82 Median $6.31 Typical High $20.42 | Professional | None | $2.82 | $6.31 | $20.42 |
United Setting Facility Modifier None Typical Low $7.41 Median $8.51 Typical High $20.42 | Facility | None | $7.41 | $8.51 | $20.42 |
United Setting Professional Modifier None Typical Low $2.69 Median $8.51 Typical High $12.30 | Professional | None | $2.69 | $8.51 | $12.30 |
Wellpoint Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $10.47 | Professional | None | $8.13 | $8.13 | $10.47 |
8 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $6.76 Median $14.79 Typical High $54.95 | Facility | 52 · Reduced service | $6.76 | $14.79 | $54.95 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.69 Median $5.89 Typical High $21.88 | Facility | 53 · Discontinued | $2.69 | $5.89 | $21.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.17 Median $6.46 Typical High $10.72 | Professional | 52 · Reduced service | $6.17 | $6.46 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $2.57 Typical High $4.27 | Professional | 53 · Discontinued | $2.45 | $2.57 | $4.27 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $7.76 Median $14.79 Typical High $54.95 | Facility | 52 · Reduced service | $7.76 | $14.79 | $54.95 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $3.09 Median $5.89 Typical High $21.88 | Facility | 53 · Discontinued | $3.09 | $5.89 | $21.88 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $6.17 Median $6.31 Typical High $9.55 | Professional | 52 · Reduced service | $6.17 | $6.31 | $9.55 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $2.51 Typical High $3.80 | Professional | 53 · Discontinued | $2.45 | $2.51 | $3.80 |
Where Texas sits
The same service costs 7.6 times more in Alaska than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Texas· 22nd of 51
$15.49
AK $45.71KY $6.03
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.